Individual
KATHLEEN D HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
6736 GRAY ST, JUNEAU, AK 99801-9432
(267) 625-3122
Mailing address
6736 GRAY ST, JUNEAU, AK 99801-9432
(267) 625-3122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2399
AK
Other
Enumeration date
05/17/2007
Last updated
05/01/2012
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